Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.49 / $720.51 / $1,615.00	Facility		$238.49	$720.51	$1,615.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $238.07 / $256.13 / $400.36	Facility	54	$238.07	$256.13	$400.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $341.50 / $646.13	Professional		$288.17	$341.50	$646.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $477.67 / $477.67 / $477.67	Professional		$477.67	$477.67	$477.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.89 / $115.89 / $117.58	Facility		$115.89	$115.89	$117.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.58 / $524.99 / $855.95	Professional		$338.58	$524.99	$855.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $395.75	Facility		$221.28	$221.28	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.15 / $459.20 / $835.89	Professional		$337.15	$459.20	$835.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $317.42 / $412.00 / $652.79	Facility		$317.42	$412.00	$652.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $428.00 / $468.00	Professional		$378.00	$428.00	$468.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $472.28 / $545.21 / $665.39	Professional		$472.28	$545.21	$665.39
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.26 / $421.01 / $948.56	Professional		$296.26	$421.01	$948.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,541.60 / $1,738.50 / $12,000.00	Facility		$1,541.60	$1,738.50	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $605.32 / $1,216.95 / $1,216.95	Facility	54	$605.32	$1,216.95	$1,216.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,423.36 / $2,614.23 / $3,100.58	Professional		$2,423.36	$2,614.23	$3,100.58